TY - JOUR
KW - Child
KW - Child Health Services -- organization & administration
KW - Continuity of Patient Care
KW - Emergencies
KW - Emergency Service, Hospital -- organization & administration
KW - Humans
KW - Insurance Coverage
KW - Insurance, Health, Reimbursement
KW - Mental Disorders -- diagnosis
KW - Mental Disorders -- therapy
KW - Needs Assessment
KW - Patient Advocacy
AU - M. A. Dolan
AU - S. E. Mace
AU - Committee on Pediatric Emergency Medicine American College of Emergency Physicians and Pediatric Emergency Medicine Committee
A1 - 
AB - Emergency departments are vital in the management of pediatric patients with mental health emergencies. Pediatric mental health emergencies are an increasing part of emergency medical practice because emergency departments have become the safety net for a fragmented mental health infrastructure that is experiencing critical shortages in services in all sectors. Emergency departments must safely, humanely, and in a culturally and developmentally appropriate manner manage pediatric patients with undiagnosed and known mental illnesses, including those with mental retardation, autistic spectrum disorders, and attention-deficit/hyperactivity disorder and those experiencing a behavioral crisis. Emergency departments also manage patients with suicidal ideation, depression, escalating aggression, substance abuse, posttraumatic stress disorder, and maltreatment and those exposed to violence and unexpected deaths. Emergency departments must address not only the physical but also the mental health needs of patients during and after mass-casualty incidents and disasters. The American Academy of Pediatrics and the American College of Emergency Physicians support advocacy for increased mental health resources, including improved pediatric mental health tools for the emergency department, increased mental health insurance coverage, and adequate reimbursement at all levels; acknowledgment of the importance of the child's medical home; and promotion of education and research for mental health emergencies.
BT - Pediatrics
C5 - Medical Home
CP - 4
CY - United States
IS - 4
JF - Pediatrics
N2 - Emergency departments are vital in the management of pediatric patients with mental health emergencies. Pediatric mental health emergencies are an increasing part of emergency medical practice because emergency departments have become the safety net for a fragmented mental health infrastructure that is experiencing critical shortages in services in all sectors. Emergency departments must safely, humanely, and in a culturally and developmentally appropriate manner manage pediatric patients with undiagnosed and known mental illnesses, including those with mental retardation, autistic spectrum disorders, and attention-deficit/hyperactivity disorder and those experiencing a behavioral crisis. Emergency departments also manage patients with suicidal ideation, depression, escalating aggression, substance abuse, posttraumatic stress disorder, and maltreatment and those exposed to violence and unexpected deaths. Emergency departments must address not only the physical but also the mental health needs of patients during and after mass-casualty incidents and disasters. The American Academy of Pediatrics and the American College of Emergency Physicians support advocacy for increased mental health resources, including improved pediatric mental health tools for the emergency department, increased mental health insurance coverage, and adequate reimbursement at all levels; acknowledgment of the importance of the child's medical home; and promotion of education and research for mental health emergencies.
PP - United States
PY - 2006
SN - 0031-4005 (Print); 1098-4275 (Electronic)
SP - 1764
EP - 1767
EP - 
T1 - Pediatric mental health emergencies in the emergency medical services system
T2 - Pediatrics
TI - Pediatric mental health emergencies in the emergency medical services system
U1 - Medical Home
U2 - 17015573
VL - 118
VO - 0031-4005 (Print); 1098-4275 (Electronic)
Y1 - 2006
ER -